12.07.2015 Views

Respiratory Failure in Children - Nemours

Respiratory Failure in Children - Nemours

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RESPIRATORY FAILUREEpiglottitis vs. CroupEPIGLOTTITIS CROUPAge All, peak 3-5 years Younger, peak 3 m-3 yEtiology Bacterial (h. Flue B) Viral (para<strong>in</strong>fluenza)Speed of Onset Rapid (39) Normal to highResp. Distress Usually present VariableRetractions Usually late ProgressiveVoice/Cough Muffled or absent Hoarse/ "seal" barkStridor Yes, less with more obstruct. YesMouth Open, forward, drool<strong>in</strong>g Closed, nasal flar<strong>in</strong>g

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